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Mapping of clinical management resources for snakebites and other animal envenomings in the Brazilian Amazon.

Publication ,  Journal Article
Beck, TP; Tupetz, A; Farias, AS; Silva-Neto, A; Rocha, T; Smith, ER; Murta, F; Dourado, FS; Cardoso, D; Ramos, TA; Sachett, A; Pinto, TS ...
Published in: Toxicon X
December 2022

Snakebite envenomings (SBEs) and other envenomings triggered by venomous animals (VAEs) represent a significant disease burden in Brazil, with 29,152 SBEs reported in 2021 alone with nearly half of those occurring in the remote Brazilian Amazon. In 2021, Brazil recorded 240,294 envenomings from snakes, scorpions, spiders, and caterpillars. Therefore, there is an unequal distribution of SBEs with high morbidity and mortality in the Brazilian Amazon. The severity of SBEs increases when patients require more than 6 h to access antivenom treatment, a common issue for the rural and indigenous populations. Understanding currently available resources and practices in Amazon remote areas of Brazil can serve to inform future interventions and guide health care policies. This study aims to develop a resource map of existing healthcare resources for the Brazilian Amazon's clinical management of VAEs with emphasis in SBEs, which will aid future strategic interventions. Data collection included a literature review, secondary data collected by government departments and organizational records, GIS mapping activities, and expert input. Our framework was guided by the three levels of healthcare service ecosystem analysis (macro, meso, and micro). Our resource map lays out a comprehensive overview of antivenom access, the distribution landscape, differences in patient transportation, and barriers to access healthcare that face populations in the Brazilian Amazon.

Duke Scholars

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Published In

Toxicon X

DOI

EISSN

2590-1710

Publication Date

December 2022

Volume

16

Start / End Page

100137

Location

England
 

Citation

APA
Chicago
ICMJE
MLA
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Beck, T. P., Tupetz, A., Farias, A. S., Silva-Neto, A., Rocha, T., Smith, E. R., … Monteiro, W. (2022). Mapping of clinical management resources for snakebites and other animal envenomings in the Brazilian Amazon. Toxicon X, 16, 100137. https://doi.org/10.1016/j.toxcx.2022.100137
Beck, Timothy P., Anna Tupetz, Altair Seabra Farias, Alexandre Silva-Neto, Thiago Rocha, Emily R. Smith, Felipe Murta, et al. “Mapping of clinical management resources for snakebites and other animal envenomings in the Brazilian Amazon.Toxicon X 16 (December 2022): 100137. https://doi.org/10.1016/j.toxcx.2022.100137.
Beck TP, Tupetz A, Farias AS, Silva-Neto A, Rocha T, Smith ER, et al. Mapping of clinical management resources for snakebites and other animal envenomings in the Brazilian Amazon. Toxicon X. 2022 Dec;16:100137.
Beck, Timothy P., et al. “Mapping of clinical management resources for snakebites and other animal envenomings in the Brazilian Amazon.Toxicon X, vol. 16, Dec. 2022, p. 100137. Pubmed, doi:10.1016/j.toxcx.2022.100137.
Beck TP, Tupetz A, Farias AS, Silva-Neto A, Rocha T, Smith ER, Murta F, Dourado FS, Cardoso D, Ramos TA, Sachett A, Pinto TS, Pucca MB, Sampaio V, Ramos F, Vissoci JN, Sachett J, Wen FH, Staton CA, Gerardo CJ, Monteiro W. Mapping of clinical management resources for snakebites and other animal envenomings in the Brazilian Amazon. Toxicon X. 2022 Dec;16:100137.
Journal cover image

Published In

Toxicon X

DOI

EISSN

2590-1710

Publication Date

December 2022

Volume

16

Start / End Page

100137

Location

England